Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $787.91 / $3,060.01	Professional		$631.54	$787.91	$3,060.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.04 / $1,131.18 / $1,357.41	Professional		$923.04	$1,131.18	$1,357.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,129.60 / $1,301.11 / $3,935.00	Professional		$1,129.60	$1,301.11	$3,935.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.96 / $995.43 / $1,131.18	Professional		$797.96	$995.43	$1,131.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.04 / $1,131.18 / $2,214.66	Professional		$923.04	$1,131.18	$2,214.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $755.71 / $2,575.00 / $6,124.00	Professional		$755.71	$2,575.00	$6,124.00